Last Name:

First Name:

Active Family Members (please list):

Street:

City:   State: Zip:

Telephone Number:        

E-mail Address:

This application is for: New Membership: Renewal: State Affiliation:

Type of Membership:
Individual: ($20/yr)     Family: ($25/yr)     Business: ($30/yr)

INDIVIDUAL membership registers one person for one year (January through December). You receive a monthly newsletter and are entitled to 1 vote.
FAMILY membership registers multiple family members for one year (January through December). You receive a monthly newsletter and are entitled to 2 votes.
BUSINESS membership receives a monthly newsletter and free advertising in the newsletter and on the website for 1 year (January through December). There are no voting rights with a Business membership.

Monthly Newsletters are sent via email unless you do not have computer access - U.S. Mail

A membership package and rules will be sent to you. Remember: Only members are eligible for awards.

Horse's Registered Name :
(Providing your horse's name here does NOT register your horse. You must complete the Horse Registration form for year end awards.)

After Completion, print and mail with your check to: